
Name
Capella University
NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations
Prof. Name
Date
This report examines an interview with a charge nurse at St. Michael’s Medical Center to identify an organizational issue that would benefit from an interdisciplinary approach. The charge nurse, who has over five years of experience, highlighted communication breakdowns between nursing staff and physicians during emergency situations and patient handovers. These issues have resulted in care delays, confusion, and potential patient safety risks.
Previous efforts to address this problem included implementing a standardized handoff tool and conducting staff training sessions. However, adherence to these initiatives was inconsistent, and communication gaps persisted. While the organization fosters a supportive culture, healthcare professionals often work independently within their respective disciplines, contributing to fragmented communication. The interview underscored the need for an interdisciplinary solution, emphasizing the importance of structured communication frameworks and engagement strategies to enhance teamwork and patient safety.
The interview process utilized a semi-structured format, allowing for open-ended responses while maintaining a clear focus on key topics. Active listening techniques, such as paraphrasing and clarification, were employed to validate understanding and encourage deeper discussion (Slade & Sergent, 2023). The conversation provided valuable insights into the hospital’s communication challenges, interdisciplinary dynamics, and existing strategies, ultimately reinforcing the necessity of collaborative problem-solving.
The primary issue identified in the interview is the communication breakdown between nurses and physicians, particularly during critical care interventions. Ineffective communication can lead to care delays, errors, and adverse patient outcomes. Addressing this challenge requires an interdisciplinary approach that fosters collaboration, enhances teamwork, and standardizes communication protocols. Research supports the implementation of structured handoff tools and teamwork training programs to improve communication and build trust among healthcare professionals (Eva et al., 2024).
A multidisciplinary engagement strategy can support the adoption of standardized communication frameworks, such as the SBAR (Situation, Background, Assessment, and Recommendation) tool, which has been shown to enhance clarity and efficiency in healthcare communication. Additionally, fostering a culture of continuous feedback and teamwork can promote sustainable improvements in communication practices (Simons et al., 2022). Implementing these strategies will create a cohesive environment where healthcare teams collaborate effectively, leading to improved patient care and overall hospital efficiency.
Kurt Lewin’s Change Theory provides a structured approach for addressing communication challenges in healthcare. This model includes three phases: unfreezing, changing, and refreezing (Smith et al., 2022). The unfreezing stage involves identifying communication gaps and educating staff on their impact. The changing phase introduces structured communication protocols and interdisciplinary training programs. Finally, the refreezing stage ensures long-term adherence to new practices through monitoring, feedback, and leadership reinforcement.
Transformational leadership plays a key role in fostering an environment conducive to change. Leaders who adopt a transformational approach inspire teamwork, promote open communication, and encourage continuous learning. By modeling effective communication behaviors and supporting team training initiatives, transformational leaders can drive improvements in interdisciplinary collaboration (Jankelová & Joniaková, 2021). Additionally, implementing frameworks like TeamSTEPPS can strengthen teamwork, clarify roles, and enhance communication efficiency (Hassan et al., 2024). These combined strategies will facilitate a lasting positive impact on interdisciplinary communication and patient care.
Category | Findings |
---|---|
Interview Summary | The charge nurse highlighted communication breakdowns between nursing staff and physicians, leading to delays in patient care. Previous attempts to address this issue included standardized handoff tools and training sessions, but adherence was inconsistent. |
Issue Identification | Ineffective communication during patient handovers and emergencies poses risks to patient safety. An interdisciplinary approach is needed to enhance teamwork, implement structured handoff protocols, and foster continuous feedback. |
Change Theory & Leadership Strategies | Lewin’s Change Theory provides a framework for implementing structured communication improvements. Transformational leadership supports teamwork and engagement, while the TeamSTEPPS model enhances role clarity and collaboration. |
Addressing communication breakdowns in healthcare requires a structured interdisciplinary approach. By applying Lewin’s Change Theory, transformational leadership strategies, and evidence-based frameworks like TeamSTEPPS, organizations can enhance teamwork, improve patient outcomes, and foster a culture of collaboration. Implementing standardized communication tools and continuous training programs will ensure sustainable improvements in healthcare communication and efficiency.
Eva, T. P., Afroze, R., & Sarker, M. A. R. (2024). The impact of leadership, communication, and teamwork practices on employee trust in the workplace. Management Dynamics in the Knowledge Economy, 12(3), 241–261. https://doi.org/10.2478/mdke-2024-0015
Hassan, A. E., Mohammed, F. A., Zakaria, A. M., & Ibrahim, I. A. (2024). Evaluating the effect of TeamSTEPPS on teamwork perceptions and patient safety culture among newly graduated nurses. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01850-y
Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. Healthcare, 9(3), 346. https://doi.org/10.3390/healthcare9030346
Simons, M., Goossensen, A., & Nies, H. (2022). Interventions fostering interdisciplinary and inter-organizational collaboration in health and social care; an integrative literature review. Journal of Interprofessional Education & Practice, 28(28), 100515. https://doi.org/10.1016/j.xjep.2022.100515
Slade, S., & Sergent, S. R. (2023). Interview techniques. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK526083/
Smith, T. G., Norasi, H., Herbst, K. M., Kendrick, M. L., Curry, T. B., Grantcharov, T. P., Palter, V. N., Hallbeck, M. S., & Cleary, S. P. (2022). Creating a practical transformational change management model for novel artificial intelligence–enabled technology implementation in the operating room. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 6(6), 584–596. https://doi.org/10.1016/j.mayocpiqo.2022.09.004
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